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1902291537
JANA PORTA
BROOMFIELD, CO
NPI
1902291537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
-- JANA PORTA R.D.
12423 KNOX CT
BROOMFIELD, CO 80020-5853
Phone number: 303-469-0697
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Mailing Address
-- JANA PORTA R.D.
12423 KNOX CT
BROOMFIELD, CO 80020-5853
Phone number: 303-469-0697
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